Ambros-Rudolph C M
Universitätsklinik für Dermatologie und Venerologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8010, Graz, Österreich.
Hautarzt. 2010 Dec;61(12):1014-20. doi: 10.1007/s00105-010-2009-5.
The specific dermatoses of pregnancy represent a heterogeneous group of inflammatory skin diseases related to pregnancy and/or the postpartum period. The most recent classification includes pemphigoid gestationis, polymorphic eruption of pregnancy, intrahepatic cholestasis of pregnancy, and atopic eruption of pregnancy. The hallmark of all four entities is severe pruritus that is accompanied by characteristic skin changes. While some of these dermatoses are distressing only to the mother because of pruritus, others may be associated with significant fetal risks. Early diagnosis and prompt treatment are therefore essential. In this review, we will discuss the various pregnancy dermatoses in detail and present an algorithm for diagnosis and management of pruritus in pregnancy.
妊娠期特异性皮肤病是一组与妊娠和/或产后时期相关的炎症性皮肤病。最新分类包括妊娠类天疱疮、妊娠多形性皮疹、妊娠肝内胆汁淤积症和妊娠特应性皮疹。这四种疾病的共同特点是伴有特征性皮肤改变的严重瘙痒。虽然其中一些皮肤病仅因瘙痒让母亲苦恼,但其他一些可能与重大胎儿风险相关。因此,早期诊断和及时治疗至关重要。在本综述中,我们将详细讨论各种妊娠皮肤病,并提出一种妊娠期瘙痒的诊断和管理算法。